Laserfiche WebLink
APR 16,2008 12:22 G00-000-00000 1%0 page <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AP� 1. 6 2008 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ENV!R. u:i'',,j Hr,�LPHTelephone: (209)468-3420 Fax, (209)464-0138 Web. WWW.sjgov.o /0q 5k <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTr- r BUSINESSIAGIENCY via kj"elFt'r5 <br /> Ar)() <br /> RESS <br /> ., _3 y r- -1 " � <br /> PHONE ill:-2 161 *7 171 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT PATE: <br /> (Please allow ton buslnims daysfromS.. of ppltca onfmllt9l_'Tentative only-must be conitrmed) <br /> 13 CHECK 13OX TO EXPEDITE REQUES - - F (CASH OR CHECK ONLY). PROCESSED IN THREE BUSIN588 DAY3 <br /> SIGNATURE OF APPLICANT 71717 DATE <br /> EIOCtronic Information: List El Map-Description: f <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street 0 Stmet NPme city In unit I <br /> 2- 9.5:5 0 _ILT� -oel 6t, 1� — <br /> 6!6'� 6+0 _._L6C� MIF Unit 2 <br /> _!Sh)CkfM1 _ & A)^ <br /> < <br /> A) <br /> 5' <br /> 6. ILL <br /> 7- if 4 <br /> -,e <br /> A) <br /> IV 11 Unit 6 <br /> /0. Call 0h J�toyl A) <br /> Specific Date Range of Information Requested;From <br /> 4w, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDEROnouNo TANK(USTI CLEAN-SITE(LOP) C3 Houswo ABATEMENT <br /> OTHER CLEANUP SITE(NON-LOP) C3 FOOD FACILITY LU'SOLICI WASTE FACILITYNFHICLF <br /> ,AITWASTv TIRE <br /> '6RDOPfUNDERGROUND TANK(MONITIDRINWREMOVAL) EI DOG KENNEL 13 DAIRY <br /> AZA <br /> US WASTE GENEFLATQFt <br /> I H C3 CHICKEN RANCH In WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTEtMOTEL C3 PumprR TRUCKtYARDICHrM TOILETS <br /> 0 TArruo[BoDy PIERCING CI POOU'SPA <br /> E3 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY171 LAND USE APPLICATION SITEs <br /> WELL.AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW-MONDAY-FRIDAY 8:00 AM.S:UopM -EXCLUDING HQUPAYS_ <br /> 1. List Up to ton addresses in the space above- Select the type(q)Of 1`110%from the list above by checking the appropriate <br /> box(es). At least one file type MUST be sele-ctad, 209)464 <br /> Eg� -01"�3 m P the jkova Rrise U. Address ranges will <br /> not be accepted-for additional assistance with file addresses,contact the EHD. Applications received After 3,-00 pm Will <br /> be processed the next business day. <br /> - Appointments <br /> te <br /> 2. The EHD will notify the applicant If any EHD files exist. Ah appointment for review will be confirmed approximately n <br /> days after receipt Of application. The files Will be held for a maximum of five business days for review <br /> should be scheduled accordingfy. <br /> 3. A file that Is actively being worked*0 by the EMD Staff may not be Immediately available for review. A new application <br /> may be submitted when the file Is available. <br /> 4. Any file not returned in the Same condition as released will be reorganized by EHD staff at the expense Of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> _i_K04-f Joilfti-_ <br /> -N-6—LIC REDODE RELEASE Ai4'FORM' <br />